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MR. ROGER DALE HIGHLEY
>> Home Health Aide >> Nursing Service Related ProvidersRegistrant NPI Number: 1225638976
Individual Registrant:MR. ROGER DALE HIGHLEY
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
404 S ADA DOTY ST GRATIS, OH 45330 US
Tel: 937-287-4240 Fax: --
Tel: 937-287-4240 Fax: --
Contact information for business:
PO BOX 60 GRATIS, OH 45330-0060 US
Tel: 937-287-4240 Fax: --
Tel: 937-287-4240 Fax: --
Registration Information:
NPI: 1225638976
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 374U00000X | Nursing Service Related Providers Home Health Aide |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
